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Spatial Variability of Heat-Related Mortality in Barcelona from 1992-2015: A Case Crossover Study Design
- Source :
- International Journal of Environmental Research and Public Health, Dipòsit Digital de Documents de la UAB, Universitat Autònoma de Barcelona, International Journal of Environmental Research and Public Health, Vol 17, Iss 2553, p 2553 (2020), Volume 17, Issue 7, r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau, instname
- Publication Year :
- 2020
-
Abstract
- Numerous studies have demonstrated the relationship between summer temperatures and increased heat-related deaths. Epidemiological analyses of the health effects of climate exposures usually rely on observations from the nearest weather station to assess exposure-response associations for geographically diverse populations. Urban climate models provide high-resolution spatial data that may potentially improve exposure estimates, but to date, they have not been extensively applied in epidemiological research. We investigated temperature-mortality relationships in the city of Barcelona, and whether estimates vary among districts. We considered georeferenced individual (natural) mortality data during the summer months (June&ndash<br />September) for the period 1992&ndash<br />2015. We extracted daily summer mean temperatures from a 100-m resolution simulation of the urban climate model (UrbClim). Summer hot days (above percentile 70) and reference (below percentile 30) temperatures were compared by using a conditional logistic regression model in a case crossover study design applied to all districts of Barcelona. Relative Risks (RR), and 95% Confidence Intervals (CI), of all-cause (natural) mortality and summer temperature were calculated for several population subgroups (age, sex and education level by districts). Hot days were associated with an increased risk of death (RR = 1.13<br />95% CI = 1.10&ndash<br />1.16) and were significant in all population subgroups compared to the non-hot days. The risk ratio was higher among women (RR = 1.16<br />95% CI= 1.12&ndash<br />1.21) and the elderly (RR = 1.18<br />95% CI = 1.13&ndash<br />1.22). Individuals with primary education had similar risk (RR = 1.13<br />95% CI = 1.08&ndash<br />1.18) than those without education (RR = 1.10<br />95% CI= 1.05&ndash<br />1.15). Moreover, 6 out of 10 districts showed statistically significant associations, varying the risk ratio between 1.12 (95% CI = 1.03&ndash<br />1.21) in Sants-Montju&iuml<br />c and 1.25 (95% CI = 1.14&ndash<br />1.38) in Sant Andreu. Findings identified vulnerable districts and suggested new insights to public health policy makers on how to develop district-specific strategies to reduce risks.
- Subjects :
- Male
Percentile
medicine.medical_specialty
Hot Temperature
spatial analysis
Health, Toxicology and Mutagenesis
Population
urban heat island effect
lcsh:Medicine
Summer extreme heat
010501 environmental sciences
heat-related mortality
01 natural sciences
Article
03 medical and health sciences
Urban climate
Heat-related mortality
11. Sustainability
Epidemiology
Medicine
Humans
UrbClim
Cities
Mortality
education
Weather
0105 earth and related environmental sciences
Aged
Aged, 80 and over
education.field_of_study
030505 public health
Cross-Over Studies
business.industry
lcsh:R
Public Health, Environmental and Occupational Health
Spatial analysis
Crossover study
Confidence interval
3. Good health
13. Climate action
Relative risk
Urban heat island effect
Spatial variability
Female
Seasons
0305 other medical science
business
summer extreme heat
Demography
Subjects
Details
- ISSN :
- 16604601 and 16617827
- Volume :
- 17
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- International journal of environmental research and public health
- Accession number :
- edsair.doi.dedup.....45982063412da14ae6a8862ad1d5c114